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PEDIATRIC MILESTONES

Gross Motor Fine Motor Personal/Social Speech and Language


Age
0 Flexor tone predominates Hands fisted Habituation and some control of Cry
In prone, turns head to side Grasp reflex state State dependent quieting and
Automatic reflex walking State-dependent ability to fix and head turning to rattle or voice
Rounded spine when held follow bright objs
sitting

4 mos Head midline Hands mostly open Recognizes bottle Turns to voice and bell
Head held when pulled to sit Midline hand play consistently
In prone, lifts head to 90 and Crude palmar grasp Laughs, squeals Responsive
lifts chest slightly vocalization
Turns to supine Blows bubbles, raspberries

7 mos Maintains sitting, may lean on Intermediate grasp Differentiates b/w familiar Uses 1-word and 2-consonant
arms Transfers cube from hand-to- person and stranger vowel combinations
Rolls to prone hand Holds bottle
Bears all weight, bounces Bangs objects Looks for dropped object
when held erect Talks to mirror image
Cervical lordosis

10 mos Creeps on all 4s Pincer grasp, mature thumb to Plays peek-a-boo Shouts for attention
Pivot in sitting index grasp Finger feeds Imitates speech sounds
Stands momentarily, cruises Bangs 2 cubes held in hands Chews with rotary movement Waves bye-bye
Slight bow leg Uses mama and dada with
Increased lumbar lordosis, meaning
acute Inhibits behavior to no
LS angulation

14 mos Walks alone, arms in high Piles 2 cubes Uses spoon with over pronation Uses single words
guard or midguard Scribbles spontaneously and spilling Understands simple commands
Wide base, excessive knee and Holds crayon full length in palm Removes a garment
hip flexion Casts objects
Foot contact on entire side
Slight valgus of knees and feet
Pelvic tilt and rotation
18 mos Arms at low guard Emerging hand dominance Imitates housework Points to named body part
Mature supporting base and Crude release Carries, hugs doll Identifies one picture Says no
heel strike Hold crayon butt end in palm Drinks from cup neatly Jargons
Seats self in a chair Dumps raisin from bottle
Walks backward spontaneously

2 yrs Begin running Hand dominance is usual Pulls on garment 2-word phrases are common
Walks up and down stairs Build 8-cube tower Uses spoon well Uses verbs
alone Aligns cubes horizontally Opens door turning knob Refers to self by name
Jumps on both feet in place Imitates vertical line Feeds doll with bottle or spoon Uses me, mine
Places pencil shaft b/w thumb Toilet training usually begun Follows simple directions
and fingers
Draws with arm and wrist action

3 yrs Runs well Imitates 3-cube bridge Toilet trained day and night 3-word sentences are usual
Pedal tricycle Copies circle Pours from pitcher Uses future tense
Broad jumps Uses overhand throw with AP Unbutton; washes and dries Asks who, what, where
Walks up stairs alternating arm and motion hands and face Follows prepositional
feet Catches with extended arms Parallel play commands
hugging against body Can take turns Gives full name
Can be reasoned with May stutter; eager Identifies sex
of self
Recognizes 3 colors

4 yrs Walks down stairs alternating Handles a pencil by finger and Cooperative play-sharing and Gives connected account of
feet wrist action, like adults interacting experience
Hops on one foot Copies a cross Imaginative make-believe play Asks why, when, how
Plantar arches developing Draws a froglike person with Dresses and undresses with Uses past tense, adjectives,
Sits up from supine position s head and extremities supervision distinguishing front adverbs
rotating Throws underhand and back of clothing and Knows opposite analogies
Cuts with scissors buttoning Repeats 4 digits
Does simple errands outside of
home

5 yrs Skips, tiptoes Hand dominance expected Creative play Fluent speech
Balances 10 sec on each foot Draws man with head, body, Competitive team play Disarticulation of some sounds
extremities Uses fork for stabbing food may persist
Throws with diagonal arm and Brushes teeth Self-sufficient in Gives name, age, address
body rotation toileting Defines concrete nouns
Catches with hand Dresses s supervision except composition, classification, use
tying shoelaces Follows 3-part commands
Number concept to 10

6 yrs Rides bicycle Prints alphabet; letter reversal Teacher is important authority Shows mastery of grammar
Roller skates still acceptable Uses fork appropriately Uses proper articulation
Mature catch and throw of ball Uses knife for spreading
Plays table games

7 yrs Continuing refinement of Eats with fork and knife


skills Combs hair
Responsible for grooming